Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Paryment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 34 3400 0 Instruction
Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 408 40800 0 Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Instruction
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 34 341870 0 Instruction
Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 34 34000 0 Instruction
Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 408 40800 0 Instruction
Form and Instruction CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 34 34000 0 Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Instruction
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility Modified 408 40800 0 Instruction
Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms
Total burden requested under this ICR: 1360 535670 0  
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